ID Flashcards
Glandular fever complication
splenic rupture
Subacute sclerosing panencephalitis complication of
measles
pneumonia with longer course, worsening flu-like symptoms and a dry cough. Erythema multiforme, abdo pain
mycoplasma
Post-exposure prophylaxis for HIV
oral antiretroviral therapy for 4 weeks
which gastroenteritis bug causes malabsorption and prolonged diarrhoea
giardia
virus that can cause pancytopenia in some predisposing haematological conditions such as sickle cell
parvovirus B19
gastroenteritis with short incubation period of 30 minutes to 8 hours and profuse vomiting
staph aureus
gastroenteritis with a flu-like prodrome, usually followed by crampy abdominal pains, fever and diarrhoea which may be bloody
May mimic appendicitis
campylobacter
causes of bloody diarrhoea in gastroenteritis
shigella
campylobacter
e coli?
Rx given (as well as abx) to improve outcomes in bacterial meningitis (prevent neuro sequelae)
dex
What is Jarisch-Herxheimer reaction
Seen in syphilis and lyme disease
Fever, rash, tachycardia after first dose of antibiotic
Later features of Lyme disease
heart block
peri/myocarditis
facial nerve palsy
radicular pain
meningitis
90% genital warts are caused by HPV which numbers
HPV 6 & 11
Which HPV predisposes to cervical cancer
16,18 & 33
First line ix for lyme disease in absence of rash
ELISA for Borrelia burgdorferi
most common cause of travellers diarrhoea
e coli
Pregnancy and lyme disease rx
doxy is c/i so amoxicillin
do immunocompetent patients need rx for toxoplasmosis
no
What causes kaposi’s sarcoma
HHV-8 in people with HIV commonly
how does kaposi’s sarcoma present
purple papules or plaques on the skin or mucosa (e.g. gastrointestinal and respiratory tract)
Lung involvement can = massive haemoptysis
Uncertain tetanus status + risky wound should get
booster vaccine + immunoglobulin, unless the wound is very minor and < 6 hours old
chlamydia rx
oral doxy
BV is an overgrowth of what
Gardnerella
antimalarial avoided in hx depression
Mefloquine
antimalarial taken weekly
Mefloquine
Gas gangrene causing organism
clostridium perfringens
If campylobacter needs rx what abx to give?
clarithromycin
How many doses of tetanus life long for full course?
5
Exposure to hep b management eg needle stick?
accelerated course of the hepatitis B vaccine + hepatitis B immune globulin if unvaxed/non responder
If vaxed and responder- just booster dose
Hep C needlestick mx
monthly PCR - if seroconversion then interferon +/- ribavirin
Flu like sx and subconjuctival haemorrhage
reduced urine output/AKI
In a farmer/vet/abbatoir worker/traveller (rat urine)
Leptospirosis
Is childs nasal spray flu vaccine live or no
live
